Provider Demographics
NPI:1518960434
Name:MINTON, BILLIE J (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:BILLIE
Middle Name:J
Last Name:MINTON
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 E CENTER ST
Mailing Address - Street 2:STE 200
Mailing Address - City:KINGSPORT
Mailing Address - State:TN
Mailing Address - Zip Code:37660-4973
Mailing Address - Country:US
Mailing Address - Phone:423-378-6337
Mailing Address - Fax:423-378-6333
Practice Address - Street 1:1000 E CENTER ST
Practice Address - Street 2:STE 200
Practice Address - City:KINGSPORT
Practice Address - State:TN
Practice Address - Zip Code:37660-4973
Practice Address - Country:US
Practice Address - Phone:423-378-6337
Practice Address - Fax:423-378-6333
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-05-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN00000085501835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy